國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG)
1.0.0 - ci-build

This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle TOTFA-document範例

Document Details

Generated Narrative: Bundle 門診醫療申報檔案 TOTFA

Document Subject

Unable to resolve subject ''

Document Content

Charge ticket or encounter form

Procedure Narrative

Disease or condition diagnoses section

Provider orders

Additional Resources Included in Document

Entry 1 - fullUrl = https://www.ghd.tw/cdm-fhir/Composition/com-TOTFA

Resource Composition:

Generated Narrative: Composition com-TOTFA

status: Final

type: Attending Outpatient Progress note

encounter: Encounter: identifier = https://www.ghd.tw/cdm-fhir#1101100011; status = finished; class = 西醫其他專案 (案件分類#09); serviceType = 放射腫瘤科; period = 2023-05-01 00:00:00+0800 --> 2023-08-01 00:00:00+0800

date: 2024-06-05 00:00:00+0000

author: Organization: identifier = example123

title: 門診醫療申報檔案 TOTFA

custodian: Organization: identifier = example123

Entry 2 - fullUrl = https://www.ghd.tw/cdm-fhir/Organization/org-TOTFAB

Resource Organization:

Generated Narrative: Organization org-TOTFAB

identifier: example123

active: true

Entry 3 - fullUrl = https://www.ghd.tw/cdm-fhir/Patient/pat-CDM

Resource Patient:

Generated Narrative: Patient pat-CDM

甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

Entry 4 - fullUrl = https://www.ghd.tw/cdm-fhir/Encounter/enc-TOTFA

Resource Encounter:

Generated Narrative: Encounter enc-TOTFA

identifier: https://www.ghd.tw/cdm-fhir/1101100011

status: completed

class: 西醫其他專案

serviceType: No display for Encounter.serviceType (concept: 放射腫瘤科)

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

Entry 5 - fullUrl = https://www.ghd.tw/cdm-fhir/ChargeItem/cha-CDM

Resource ChargeItem:

Generated Narrative: ChargeItem cha-CDM

status: Billable

code: 送核

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

occurrence: 2024-01-25 00:00:00+0800

enteredDate: 2024-01-25 00:00:00+0800

Entry 6 - fullUrl = https://www.ghd.tw/cdm-fhir/Procedure/pro-TOTFA

Resource Procedure:

Generated Narrative: Procedure pro-TOTFA

status: Completed

code: 0016070

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

encounter: Encounter: identifier = https://www.ghd.tw/cdm-fhir#1101100011; status = finished; class = 西醫其他專案 (案件分類#09); serviceType = 放射腫瘤科; period = 2023-05-01 00:00:00+0800 --> 2023-08-01 00:00:00+0800

note: 特定治療項目代號(一)

Entry 7 - fullUrl = https://www.ghd.tw/cdm-fhir/Condition/con-TOTFA

Resource Condition:

Generated Narrative: Condition con-TOTFA

clinicalStatus: Remission

verificationStatus: Confirmed

category: Encounter Diagnosis

code: A00

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

encounter: Encounter: identifier = https://www.ghd.tw/cdm-fhir#1101100011; status = finished; class = 西醫其他專案 (案件分類#09); serviceType = 放射腫瘤科; period = 2023-05-01 00:00:00+0800 --> 2023-08-01 00:00:00+0800

note: 主診斷代碼

Entry 8 - fullUrl = https://www.ghd.tw/cdm-fhir/ChargeItem/cha-TOTFA-Order

Resource ChargeItem:

Generated Narrative: ChargeItem cha-TOTFA-Order

identifier: 30

status: Billable

code: 診療明細

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

occurrence: 2024-01-21 00:00:00+0800 --> 2024-01-25 00:00:00+0800

bodysite: Fetal part of placenta

note: 1

Entry 9 - fullUrl = https://www.ghd.tw/cdm-fhir/MedicationRequest/med-TOTFA-Order

Resource MedicationRequest:

Generated Narrative: MedicationRequest med-TOTFA-Order

identifier: 08

status: Active

intent: Order

category: Discharge

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

encounter: Encounter: identifier = https://www.ghd.tw/cdm-fhir#1101100011; status = finished; class = 西醫其他專案 (案件分類#09); serviceType = 放射腫瘤科; period = 2023-05-01 00:00:00+0800 --> 2023-08-01 00:00:00+0800

note: 1

dosageInstruction

timing: Code

site: Fetal part of placenta

route: 口服

DoseAndRates

-Dose[x]
*0.5

dispenseRequest

validityPeriod: 2024-03-01 00:00:00+0800 --> 2024-05-01 00:00:00+0800

quantity: 30

ExpectedSupplyDurations

-Value
*30

Entry 10 - fullUrl = https://www.ghd.tw/cdm-fhir/Observation/obs-TOTFA-Order

Resource Observation:

Generated Narrative: Observation obs-TOTFA-Order

identifier: 30

status: Final

category: 診療明細

code: 0016070

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

effective: 2024-03-01 00:00:00+0800 --> 2024-05-01 00:00:00+0800

value: 15.1 mg/dL

note: 0

bodySite: Fetal part of placenta

Entry 11 - fullUrl = https://www.ghd.tw/cdm-fhir/Procedure/pro-TOTFA-Order

Resource Procedure:

Generated Narrative: Procedure pro-TOTFA-Order

identifier: 30

status: Completed

category: 診療明細

code: 無資料

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

note: 0